ORDER FORM -- Cruiser’s CrutchTM
~ WE ACCEPT MAIL ORDERS ONLY ~
Right Click on form to print it, complete form and MAIL TO:
SEC, Inc. - Cruiser's Crutch
825 Cove Parkway, Suite A
Cottonwood, AZ 86326
Click HERE to return to Cruisers's Crutch Page
~ WE ACCEPT MAIL ORDERS ONLY ~
Right Click on form to print it, complete form and MAIL TO:
SEC, Inc. - Cruiser's Crutch
825 Cove Parkway, Suite A
Cottonwood, AZ 86326
Click HERE to return to Cruisers's Crutch Page
ORDERING INFORMATION | |
Name: |
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Phone (only in case of problems): |
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Email (optional): |
Available in
English or Metric
models: English (E) BAF's: 10, 20, 30 & 40.....$33.29 Metric (M) BAF's: 2, 3, 4, 5 & 6..........$33.29 |
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(E)/(M) | Quantity | Unit Price | Amount |
English (E) |
x |
$33.29 = |
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Metric (M) |
x |
$33.29 = |
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x |
= |
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Arizona Sales Tax (x%): | |||
Shipping & Handling Charges (0 for Orders Over $50.00): | $5.00 | ||
Priority Overnight - (Add $16.00): | |||
TOTAL: |
Cashier's Check or Money Orders Only
Payable to "SEC-Cruiser's Crutch"
Mail order and payment to:
SEC, Inc-Cruiser's Crutch
825 Cove Parkway, Suite A
Cottonwood, AZ 86326
Please do not send cash
Allow 5-10 working days for normal delivery.
Payable to "SEC-Cruiser's Crutch"
Mail order and payment to:
SEC, Inc-Cruiser's Crutch
825 Cove Parkway, Suite A
Cottonwood, AZ 86326
Please do not send cash
Allow 5-10 working days for normal delivery.